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See a sample rate comparisonCPT 70486 Fee Schedule
Medicare rates as of October 2026
CPT 70486 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Ct Scan Of Face And Jaw, A Ct Scanner Circles The Head Taking X-Rays Of The Face And Jaw And Assembles Them Into A 3-D Image. Dye Might Be Used To Highlight Areas On The Images.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $128.26 national non-facility rate (2026) · View Medicare rates for 70486 |
| Medicaid Fee Schedule | $104.81 median of the 8 states in the free preview · View Medicaid rates for 70486 |
National average reimbursement for CPT 70486 by major payers:
$172.59
BCBS / Anthem
$206.00
UnitedHealthcare
$247.42
Aetna
$241.65
Cigna
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CPT 70486
5 of 25 sample ratesHigher to lower in this preview
Zahir Javeri
$882.80Published rateRobert Morrison
$233.19Published rateChand Mathur
$141.47Published rateLance Williams
$80.51Published rateJohn Bliznak
$44.02Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 70486 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 70486. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 70481-CPT | Moderate | Ct Scan Of Eye Socket Or Ear, A Ct Scanner Circles The Head Taking X-Rays Of The Eye Socket Or Ear And Assembles Them Into A 3-D Image. Dye (Contrast) May Be Used To Make The Area Easier To See. |
| 70486-CPT | Low | Ct Scan Of Face And Jaw, A Ct Scanner Circles The Head Taking X-Rays Of The Face And Jaw And Assembles Them Into A 3-D Image. Dye Might Be Used To Highlight Areas On The Images. |
| 70487-CPT | Low | Ct Scan Of Face And Jaw, A Ct Scanner Circles The Head Taking X-Rays Of The Face And Jaw And Assembles Them Into A 3-D Image. Dye Might Be Used To Highlight Areas On The Images. |
| 70488-CPT | Moderate | Ct Scan Of Face And Jaw, A Ct Scanner Circles The Head Taking X-Rays Of The Face And Jaw And Assembles Them Into A 3-D Image. Dye Might Be Used To Highlight Areas On The Images. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 70486. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 70486 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
Understanding the cost of a medical procedure beforehand can help you plan and avoid unexpected bills. To get an estimate, you can contact your insurance provider directly, as they can explain your benefits and covered amounts. Additionally, for specific fee schedules based on CPT codes and your location, you can use services like Payerprice. They offer a fee schedule lookup tool that can provide more detailed information for various medical services, helping you to research potential costs.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit alphanumeric codes used by medical professionals to report medical, surgical, and diagnostic services to entities such as physicians, hospitals, and outpatient facilities. These codes are crucial for understanding healthcare costs because they precisely define the service rendered, allowing for accurate billing and reimbursement. When you know the CPT code for a procedure, you can more accurately search for its cost and compare prices, for instance, by using tools like Payerprice.
To look up fees for specific medical services based on CPT codes and your location, it's best to use dedicated tools designed for healthcare cost transparency. Payerprice provides a fee schedule lookup tool where you can input the CPT code and your specific location to find relevant pricing information. This can give you a clearer picture of what you might expect to pay or what your insurance might cover for a particular service in your area.
The 'listed price,' often called the charge master price or sticker price, is the full amount a healthcare provider charges for a service before any discounts or insurance adjustments. This price is rarely what patients or insurers actually pay. A 'negotiated rate,' on the other hand, is the discounted price that an insurance company has agreed upon with a healthcare provider for a specific service. If you have insurance, you will typically pay a portion of this negotiated rate (e.g., through copay, deductible, or coinsurance), rather than the full listed price. Tools like Payerprice often help you find data closer to these negotiated rates or typical reimbursement amounts, providing a more realistic cost estimate.